Lacrosse Summer Clinic hosted by Vanderbilt Players Signup

Participant's Full Name

First NameLast Name

Participant's Current Grade (2026-2027 School Year)

Date of Birth

Date

Parent or Guardian Name

First NameLast Name

Parent or Guardian Email

example@example.com

Parent or Guardian Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Emergency Contact Name

First NameLast Name

Emergency Contact Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Does the participant have any relevant medical conditions or allergies?

School Name

Lacrosse Experience (years played, positions, teams, etc.)

Waiver and Release of Liability: I understand that participation in the Nantucket Lacrosse Summer Clinic hosted by Vanderbilt players involves physical activity and inherent risks. I, on behalf of myself (or my child), agree to assume all risks of injury or illness and hereby release Vanderbilt University, clinic staff, coaches, and volunteers from any and all claims, liabilities, or causes of action arising from participation. I certify that the participant is physically able to participate and that I will notify staff of any relevant medical conditions. By checking the box and/or uploading a signed copy of this waiver, I acknowledge that I have read, understand, and agree to the terms of this waiver.

You will receive an email with payment instructions. Please note your registartion will not be final until payment is received. Thank you!

Terms and Conditions

Date

MonthDayYear

Electronic Signature